دورية أكاديمية
أعرض في EDS

Outcomes of side-to-end versus end-to-end colorectal anastomosis in nonemergent sigmoid and rectal cancers: a randomized controlled clinical trial.

التفاصيل البيبلوغرافية
العنوان: Outcomes of side-to-end versus end-to-end colorectal anastomosis in nonemergent sigmoid and rectal cancers: a randomized controlled clinical trial.
المؤلفون: Habeeb TAAM; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Mohammad H; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Wasefy T; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt., Mansour MI; Department of General Surgery, Faculty of Medicine, Zagazig University, Zagazig, Egypt.
المصدر: Annals of coloproctology [Ann Coloproctol] 2023 Jun; Vol. 39 (3), pp. 231-241. Date of Electronic Publication: 2022 Mar 11.
نوع المنشور: Journal Article
اللغة: English
بيانات الدورية: Publisher: Korean Society of Coloproctology Country of Publication: Korea (South) NLM ID: 101605121 Publication Model: Print-Electronic Cited Medium: Print ISSN: 2287-9714 (Print) Linking ISSN: 22879714 NLM ISO Abbreviation: Ann Coloproctol Subsets: PubMed not MEDLINE
أسماء مطبوعة: Original Publication: Seoul : Korean Society of Coloproctology, [2013]-
مستخلص: Purpose: The outcomes of open colorectal anastomosis of side-to-end versus end-to-end in nonemergent sigmoid and rectal cancer surgery in adults were compared.
Methods: A randomized controlled trial on individuals with sigmoid and rectal cancers was conducted between September 2016 and September 2018.
Results: The mean age was 62.58±12.3 years in the side-to-end anastomotic (SEA) group and 61.03±13.98 years in the end-to-end anastomotic (EEA) group. Except for the operative time, intraoperative data revealed no significant differences between the studied groups, and the SEA group revealed that the mean anastomotic time was significantly shorter. Perioperative blood loss, length of stay, reoperation, inpatient death, infection, and bleeding were significantly associated with leakage. There is a statistically significant change regarding the range of bowel frequency in the EEA group only (P=0.04). There is a statistically significant difference regarding incontinence for flatus in the SEA group only (P≤0.001). A statistically significant change in both groups regards incontinence for liquid stools (P≤0.001) and clustering of stools (P≤0.001 and P=0.043). The quality of life in the SEA group significantly dropped at 6 months and then returned to baseline as regards to physical well-being (PWB), functional well-being (FWB), and colorectal cancer symptoms (CCS) with no difference as regards SWB and EWB, while in the EEA group, the exact change happened only as regard PWB and FWB, but SWB and CCS percentage did not return to baseline.
Conclusion: The SEA group offers a safe alternative approach to the EEA group.
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فهرسة مساهمة: Keywords: Colorectal anastomosis; Leakage; Quality of life; Rectal neoplasms; Stapler
تواريخ الأحداث: Date Created: 20220311 Latest Revision: 20230718
رمز التحديث: 20231215
مُعرف محوري في PubMed: PMC10338166
DOI: 10.3393/ac.2021.00906.0129
PMID: 35272448
قاعدة البيانات: MEDLINE
الوصف
تدمد:2287-9714
DOI:10.3393/ac.2021.00906.0129